Bivalirudin in percutaneous coronary intervention

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Bivalirudin in percutaneous coronary intervention

Bivalirudin is a member of the direct thrombin inhibitor group of anticoagulants. It has been evaluated as an alternative to unfractionated and low-molecular-weight heparins in the settings of percutaneous coronary intervention (PCI) and acute coronary syndrome (ACS). Results of clinical trials to date suggest bivalirudin is a viable alternative to the use of a heparin combined with a glycoprot...

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Optimal pharmacotherapy is essential to realize the bestoutcomes in patients undergoing primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI). In this regard, effectively restoring reperfusion and maintaining the patency of the infarct artery after stenting requires a balance between the haemorrhagic risks and the ischaemic benefits of anticoagu...

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The role of bivalirudin in percutaneous coronary intervention.

Bivalirudin (angiomax) is a reversible direct thrombin inhibitor. It is a polypeptide that has a carboxy-terminal region that recognizes thrombin’s fibrinogen-binding site, and an amino-terminal tetrapeptide that inhibits the active site of thrombin. It is considered superior to its prototype; hirudin as it is less dependent on renal function and has a lower incidence of anaphylaxis. Bivalirudi...

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Percutaneous coronary intervention in patients with acute coronary syndrome: focus on bivalirudin

Previously, indirect thrombin inhibitors such as unfractionated heparin or low-molecular-weight heparin were used as a standard anticoagulation during percutaneous coronary intervention to prevent procedural thrombotic complications but at a risk of hemorrhagic complications. More recently, bivalirudin, a member of the direct thrombin inhibitor class, has been shown to have 1) predictable pharm...

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ژورنال

عنوان ژورنال: Vascular Health and Risk Management

سال: 2006

ISSN: 1176-6344

DOI: 10.2147/vhrm.2006.2.4.357